脳卒中の外科
Online ISSN : 1880-4683
Print ISSN : 0914-5508
ISSN-L : 0914-5508
症  例
脳卒中後,頭蓋骨欠損に対し,神経内視鏡を用いて頭蓋形成術を行った2例
寺西 邦匡芝野 克彦福永 貴典馬塲 庸平佐々木 学梅垣 昌士松本 勝美
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2021 年 49 巻 3 号 p. 224-228

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Cranioplasty is usually performed in patients with previous external decompression for massive cerebral edema accompanied by severe brain hemorrhage or malignant infarction. However, post-operative infection sometimes occurs after the cranioplasty. If an infection occurs, infected bone removal and second cranioplasty is required. In such cases, the second cranioplasty is difficult because of the thin scar from the previous operation and skin atrophy. We report our experience of two cases requiring a third cranioplasty due to repeated cranial bone infections. In these two cases, we could successfully perform cranioplasty with minimum skin incision by peeling back the skin and dura mater using a neuro-endoscope.

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